Using a crowdsourcing methodology developed by Clever Together, staff and the public were asked what things enable bottom-up change in the NHS and what are the barriers to change?

For the second phase of the campaign, the public were asked for solutions to these barriers and enablers. For the third and final phase, contributors were invited to further develop the most popular ideas.

Overall 3,595 people from 45 countries took part. A public voting system and expert panels, both within and outside the industry, selected the best submissions for further development into implementable ideas.

The guide can act as a starting point for individuals wanting to support bottom-up change among NHS staff. It is available from both the HSJ and Nursing Times’ websites. A series of videos will also be published from Monday onwards.

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